<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">

							<input id="id" name="id" th:value="${stuSignUpCom.id}"  type="hidden">

							<div class="form-group">
								<label class="col-sm-2 control-label">参赛单位：</label>
								<div class="col-sm-9">
									<input id="unitName" name="unitName" th:value="${stuSignUpCom.unitName}" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">省份信息：</label>
								<div class="col-sm-9" style="display: flex">
									<div style="margin-right: 20px;flex: 1">
										<input th:value="${stuSignUpCom.pid}"  id="province"  name="pid" placeholder="请选择" class="form-control" type="text">
									</div>
									<input th:value="${stuSignUpCom.cid}" style="flex: 1" id="city"   name="cid" placeholder="请选择" class="form-control" type="text">

								</div>
								<input th:value="${stuSignUpCom.pid}" id="getProvinceId" type="hidden">
								<input th:value="${stuSignUpCom.cid}" id="getCityId"  type="hidden">
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">领队姓名：</label>
								<div class="col-sm-9">
									<input id="teamLeader" th:value="${stuSignUpCom.teamLeader}" name="teamLeader" placeholder="请输入领队姓名" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">指导老师：</label>
								<div class="col-sm-9">
									<input id="teacher" name="teacher" th:value="${stuSignUpCom.teacher}" class="form-control" type="text">
								</div>
							</div>


							<div class="form-group">
								<label class="col-sm-2 control-label">选手姓名：</label>
								<div class="col-sm-2">
									<input id="name" name="name" th:value="${stuSignUpCom.name}" class="form-control" type="text">
								</div>
								<label class="col-sm-1 control-label">性别：</label>
								<div class="col-sm-2">
									<select id="sex"  name="sex" class="form-control">
										<option value="">请选择</option>
										<option value="男">男</option>
										<option value="女">女</option>
									</select>
									<input id="sexHidden" th:value="${stuSignUpCom.sex}"
										   class="form-control" type="hidden">
								</div>
								<label class="col-sm-1 control-label">民族：</label>
								<div class="col-sm-3">
									<input id="nationHidden" class="form-control" type="hidden"
										   th:value="${stuSignUpCom.nation}"/>

									<select id="nation"  name="nation" class="form-control">
									</select>

								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">身份证号码：</label>
								<div class="col-sm-9">
									<input id="idNumber" name="idNumber" th:value="${stuSignUpCom.idNumber}" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">联系方式：</label>
								<div class="col-sm-9">
									<input id="ticketNumber" name="ticketNumber" th:value="${stuSignUpCom.ticketNumber}" class="form-control" type="text">
								</div>
							</div>




							<div class="form-group">
								<label class="col-sm-2 control-label">选手姓名：</label>
								<div class="col-sm-2">
									<input id="name2" name="name2" th:value="${stuSignUpCom.name2}" class="form-control" type="text">
								</div>
								<label class="col-sm-1 control-label">性别：</label>
								<div class="col-sm-2">
									<select id="sex2"  name="sex2" class="form-control">
										<option value="">请选择</option>
										<option value="男">男</option>
										<option value="女">女</option>
									</select>
									<input id="sexHidden2" th:value="${stuSignUpCom.sex2}"
										   class="form-control" type="hidden">
								</div>
								<label class="col-sm-1 control-label">民族：</label>
								<div class="col-sm-3">
									<input id="nationHidden2" class="form-control" type="hidden"
										   th:value="${stuSignUpCom.nation2}"/>

									<select id="nation2"  name="nation2" class="form-control">
									</select>

								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-2 control-label">身份证号码：</label>
								<div class="col-sm-9">
									<input id="idNumber2" name="idNumber2" th:value="${stuSignUpCom.idNumber2}" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">联系方式：</label>
								<div class="col-sm-9">
									<input id="ticketNumber2" name="ticketNumber2" th:value="${stuSignUpCom.ticketNumber2}" class="form-control" type="text">
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-2 control-label">选手姓名：</label>
								<div class="col-sm-2">
									<input id="name3" name="name3" th:value="${stuSignUpCom.name3}" class="form-control" type="text">
								</div>
								<label class="col-sm-1 control-label">性别：</label>
								<div class="col-sm-2">
									<select id="sex3"  name="sex3" class="form-control">
										<option value="">请选择</option>
										<option value="男">男</option>
										<option value="女">女</option>
									</select>
									<input id="sexHidden3" th:value="${stuSignUpCom.sex3}"
										   class="form-control" type="hidden">
								</div>
								<label class="col-sm-1 control-label">民族：</label>
								<div class="col-sm-3">
									<input id="nationHidden3" class="form-control" type="hidden"
										   th:value="${stuSignUpCom.nation3}"/>

									<select id="nation3"  name="nation3" class="form-control">
									</select>

								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-2 control-label">身份证号码：</label>
								<div class="col-sm-9">
									<input id="idNumber3" name="idNumber3" th:value="${stuSignUpCom.idNumber3}" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-2 control-label">联系方式：</label>
								<div class="col-sm-9">
									<input id="ticketNumber3" name="ticketNumber3" th:value="${stuSignUpCom.ticketNumber3}" class="form-control" type="text">
								</div>
							</div>

							<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>

						</form>
					</div>
				</div>
			</div>
	</div>
	</div>

	<div th:include="include::footer"></div>
	<!--<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>-->
	<script type="text/javascript" src="/js/webJs/jzweb/careSignUpComReality/edit.js"></script>

</body>
</html>
